﻿<%@ Page Title="" Language="C#" MasterPageFile="~/car-insurance/Car_Insurance.master"
    AutoEventWireup="true" CodeFile="ViewCompletedPersonalAccidentDetail.aspx.cs" Inherits="personal_accident_ViewCompletedPersonalAccidentDetail" %>

<asp:Content ID="Content1" ContentPlaceHolderID="ContentPlaceHolder1" runat="Server">
    <div class="elements_inner_wrapper">
        <div id="divContent">
            <div id="contentBody">
                <div class="section">
                    <fieldset>
                        <h3 class="blue_bg">
                            <asp:Label ID="lblQuoteTitle" Font-Bold="true" Text="" runat="server" /></h3>
                        <!--Insurance Details-->
                        <div id="divTravelHeader">
                            <div class="form_title">
                                Insurance Details</div>
                            <div class="clear">
                            </div>
                        </div>
                        <div style="display: " class="form_box" id="divTravelDetail">
                            <div class="row" id="div">
                                <label for="Type of Travel:">
                                    Cover Type:</label>
                                <div class="field">
                                    <span class="indicator">
                                        <asp:Label ID="lblCoverType" runat="server"></asp:Label></span>
                                    <div class="clear">
                                    </div>
                                </div>
                            </div>
                             <div class="row" id="div4">
                                <label for="Type of Travel:">
                                    Plan Name:</label>
                                <div class="field">
                                    <span class="indicator">
                                        <asp:Label ID="lblPlanName" runat="server"></asp:Label></span>
                                    <div class="clear">
                                    </div>
                                </div>
                            </div>
                            <div class="row" id="divNoOfChilds" runat="server">
                                <label for="Traveller">
                                    No. of Child(s):</label>
                                <div class="field">
                                    <span class="indicator">
                                        <asp:Label ID="lblNoOfChilds" runat="server"></asp:Label></span>
                                    <div class="clear">
                                    </div>
                                </div>
                            </div>
                            <div class="clear">
                            </div>
                        </div>
                        <!--End Car and Policy Details -->
                        <!--Selected Package Information-->
                        <div id="divPackageInfoHeader">
                            <div class="form_title">
                                Selected Package Details</div>
                            <div class="clear">
                            </div>
                        </div>
                        <div style="display: " class="form_box" id="divPackageInfo">
                            <div class="row" id="div12">
                                <label for="Gender">
                                    Insurer</label>
                                <div class="field">
                                    <span class="indicator">
                                        <asp:Label runat="server" ID="lblInsurer" Text="" /></span>
                                    <div class="clear">
                                    </div>
                                </div>
                            </div>
                            <div class="row" id="div8">
                                <label for="Premium">
                                    Total Premium (w/ GST):</label>
                                <div class="field">
                                    <span class="indicator">
                                        <asp:Label ID="lblTotalPremium" runat="server"></asp:Label></span>
                                    <div class="clear">
                                    </div>
                                </div>
                            </div>
                            <div class="clear">
                            </div>
                        </div>
                        <!--Proposal Form Details-->
                        <div id="divProposalFormHeader">
                            <div class="form_title" ">
                                Proposal Form Details</div>
                            <div class="clear">
                            </div>
                        </div>
                        <div style="display: " class="form_box" id="divProposalForm">
                            <div class="row" id="div22">
                                <label for="Gender">
                                    Name</label>
                                <div class="field">
                                    <span class="indicator">
                                        <asp:Label runat="server" ID="lblName" Text="" /></span>
                                    <div class="clear">
                                    </div>
                                </div>
                            </div>
                            <div class="row" id="divGender" runat="server">
                                <label for="Gender">
                                    Gender</label>
                                <div class="field">
                                    <span class="indicator">
                                        <asp:Label runat="server" ID="lblGender" Text="" /></span>
                                    <div class="clear">
                                    </div>
                                </div>
                            </div>
                            <div class="row" id="divBirthday" runat="server">
                                <label for="DOB">
                                    Birthday</label>
                                <div class="field">
                                    <span class="indicator">
                                        <asp:Label runat="server" ID="lblBirthday" Text="" /></span>
                                    <div class="clear">
                                    </div>
                                </div>
                            </div>
                            <div class="row" id="div3">
                                <label for="Occupation">
                                    Occupation</label>
                                <div class="field">
                                    <span class="indicator">
                                        <asp:Label runat="server" ID="lblOccupation" Text="" /></span>
                                    <div class="clear">
                                    </div>
                                </div>
                            </div>
                            <div class="row" id="div23">
                                <label for="DOB">
                                    Address</label>
                                <div class="field">
                                    <span class="indicator">
                                        <asp:Label runat="server" ID="lblAddress" Text="" /></span>
                                    <div class="clear">
                                    </div>
                                </div>
                            </div>
                            <div class="row" id="div24">
                                <label for="Occupation">
                                    Contact Number</label>
                                <div class="field">
                                    <span class="indicator">
                                        <asp:Label runat="server" ID="lblContactNo" Text="" /></span>
                                    <div class="clear">
                                    </div>
                                </div>
                            </div>
                            <div class="row" id="divNRIC" runat="server">
                                <label for="Occupation">
                                    NRIC Number</label>
                                <div class="field">
                                    <span class="indicator">
                                        <asp:Label runat="server" ID="lblNRICNo" Text="" /></span>
                                    <div class="clear">
                                    </div>
                                </div>
                            </div>
                            <div class="row" id="div26">
                                <label for="MaritalStatus">
                                    Nationality</label>
                                <div class="field">
                                    <span class="indicator">
                                        <asp:Label runat="server" ID="lblNationality" Text="" /></span>
                                    <div class="clear">
                                    </div>
                                </div>
                            </div>
                            <!--End Proposal Form Information -->
                            <div class="clear">
                            </div>
                            <div id="divSpouse" runat="server">
                                <div class="form_title">
                                    Spouse Details</div>
                                <div class="clear">
                                </div>
                               <div class="row" id="divInsured1">
                                    <label for="Insured">
                                        Spouse Name</label>
                                    <div class="field">
                                        <span class="indicator">
                                            <asp:Label runat="server" ID="lblSpouseName" Text="" /></span>
                                        <div class="clear">
                                        </div>
                                    </div>
                                </div>
                                <div class="row" id="div1">
                                    <label for="Insured">
                                        Birthday</label>
                                    <div class="field">
                                        <span class="indicator">
                                            <asp:Label runat="server" ID="lblSpouseBirthday" Text="" /></span>
                                        <div class="clear">
                                        </div>
                                    </div>
                                </div>
                                 <div class="row" id="div2">
                                    <label for="Insured">
                                        NRIC</label>
                                    <div class="field">
                                        <span class="indicator">
                                            <asp:Label runat="server" ID="lblSpouseNRIC" Text="" /></span>
                                        <div class="clear">
                                        </div>
                                    </div>
                                </div>
                                 <div class="row" id="divSpouseNationality" runat="server">
                                    <label for="Insured">
                                        Nationality</label>
                                    <div class="field">
                                        <span class="indicator">
                                            <asp:Label runat="server" ID="lblSpouseNationality" Text="" /></span>
                                        <div class="clear">
                                        </div>
                                    </div>
                                </div>
                                <div class="row" id="div5">
                                    <label for="Occupation">
                                        Occupation</label>
                                    <div class="field">
                                        <span class="indicator">
                                            <asp:Label runat="server" ID="lblSpouseOccupation" Text="" /></span>
                                        <div class="clear">
                                        </div>
                                    </div>
                                </div>
                            </div>
                            <div id="divChilds" runat="server">
                                <div class="clear">
                                </div>
                                <div class="form_title" ">
                                    Child Details</div>
                                <div class="clear">
                                </div>
                                <div id="divChild1" runat="server">
                                    <div class="row" id="div9">
                                        <label for="Insured">
                                            <b>1. Child Name</b></label>
                                        <div class="field">
                                            <span class="indicator">
                                                <asp:Label runat="server" ID="lblChildName1" Text="" /></span>
                                            <div class="clear">
                                            </div>
                                        </div>
                                    </div>
                                    <div class="row" id="div14">
                                        <label for="Insured">
                                            Gender</label>
                                        <div class="field">
                                            <span class="indicator">
                                                <asp:Label runat="server" ID="lblChildGender1" Text="" /></span>
                                            <div class="clear">
                                            </div>
                                        </div>
                                    </div>
                                    <div class="row" id="div10">
                                        <label for="Insured">
                                            Birthday</label>
                                        <div class="field">
                                            <span class="indicator">
                                                <asp:Label runat="server" ID="lblChildBirthday1" Text="" /></span>
                                            <div class="clear">
                                            </div>
                                        </div>
                                    </div>
                                     <div class="row" id="div11">
                                        <label for="Insured">
                                            NRIC</label>
                                        <div class="field">
                                            <span class="indicator">
                                                <asp:Label runat="server" ID="lblChildNRIC1" Text="" /></span>
                                            <div class="clear">
                                            </div>
                                        </div>
                                    </div>
                                     <div class="row" id="divChildNationality1" runat="server">
                                        <label for="Insured">
                                            Nationality</label>
                                        <div class="field">
                                            <span class="indicator">
                                                <asp:Label runat="server" ID="lblChildNationality1" Text="" /></span>
                                            <div class="clear">
                                            </div>
                                        </div>
                                    </div>
                                </div>
                                <div id="divChild2" runat="server">
                                    <div class="row" id="div9">
                                        <label for="Insured">
                                            <b>2. Child Name</b></label>
                                        <div class="field">
                                            <span class="indicator">
                                                <asp:Label runat="server" ID="lblChildName2" Text="" /></span>
                                            <div class="clear">
                                            </div>
                                        </div>
                                    </div>
                                    <div class="row" id="div14">
                                        <label for="Insured">
                                            Gender</label>
                                        <div class="field">
                                            <span class="indicator">
                                                <asp:Label runat="server" ID="lblChildGender2" Text="" /></span>
                                            <div class="clear">
                                            </div>
                                        </div>
                                    </div>
                                    <div class="row" id="div10">
                                        <label for="Insured">
                                            Birthday</label>
                                        <div class="field">
                                            <span class="indicator">
                                                <asp:Label runat="server" ID="lblChildBirthday2" Text="" /></span>
                                            <div class="clear">
                                            </div>
                                        </div>
                                    </div>
                                     <div class="row" id="div11">
                                        <label for="Insured">
                                            NRIC</label>
                                        <div class="field">
                                            <span class="indicator">
                                                <asp:Label runat="server" ID="lblChildNRIC2" Text="" /></span>
                                            <div class="clear">
                                            </div>
                                        </div>
                                    </div>
                                     <div class="row" id="divChildNationality2" runat="server">
                                        <label for="Insured">
                                            Nationality</label>
                                        <div class="field">
                                            <span class="indicator">
                                                <asp:Label runat="server" ID="lblChildNationality2" Text="" /></span>
                                            <div class="clear">
                                            </div>
                                        </div>
                                    </div>
                                </div>
                                <div id="divChild3" runat="server">
                                    <div class="row" id="div15">
                                        <label for="Insured">
                                            <b>3. Child Name</b></label>
                                        <div class="field">
                                            <span class="indicator">
                                                <asp:Label runat="server" ID="lblChildName3" Text="" /></span>
                                            <div class="clear">
                                            </div>
                                        </div>
                                    </div>
                                    <div class="row" id="div16">
                                        <label for="Insured">
                                            Gender</label>
                                        <div class="field">
                                            <span class="indicator">
                                                <asp:Label runat="server" ID="lblChildGender3" Text="" /></span>
                                            <div class="clear">
                                            </div>
                                        </div>
                                    </div>
                                    <div class="row" id="div17">
                                        <label for="Insured">
                                            Birthday</label>
                                        <div class="field">
                                            <span class="indicator">
                                                <asp:Label runat="server" ID="lblChildBirthday3" Text="" /></span>
                                            <div class="clear">
                                            </div>
                                        </div>
                                    </div>
                                     <div class="row" id="div18">
                                        <label for="Insured">
                                            NRIC</label>
                                        <div class="field">
                                            <span class="indicator">
                                                <asp:Label runat="server" ID="lblChildNRIC3" Text="" /></span>
                                            <div class="clear">
                                            </div>
                                        </div>
                                    </div>
                                     <div class="row" id="divChildNationality3" runat="server">
                                        <label for="Insured">
                                            Nationality</label>
                                        <div class="field">
                                            <span class="indicator">
                                                <asp:Label runat="server" ID="lblChildNationality3" Text="" /></span>
                                            <div class="clear">
                                            </div>
                                        </div>
                                    </div>
                                </div>
                                <div id="divChild4" runat="server">
                                    <div class="row" id="div20">
                                        <label for="Insured">
                                            <b>4. Child Name</b></label>
                                        <div class="field">
                                            <span class="indicator">
                                                <asp:Label runat="server" ID="lblChildName4" Text="" /></span>
                                            <div class="clear">
                                            </div>
                                        </div>
                                    </div>
                                    <div class="row" id="div21">
                                        <label for="Insured">
                                            Gender</label>
                                        <div class="field">
                                            <span class="indicator">
                                                <asp:Label runat="server" ID="lblChildGender4" Text="" /></span>
                                            <div class="clear">
                                            </div>
                                        </div>
                                    </div>
                                    <div class="row" id="div25">
                                        <label for="Insured">
                                            Birthday</label>
                                        <div class="field">
                                            <span class="indicator">
                                                <asp:Label runat="server" ID="lblChildBirthday4" Text="" /></span>
                                            <div class="clear">
                                            </div>
                                        </div>
                                    </div>
                                     <div class="row" id="div27">
                                        <label for="Insured">
                                            NRIC</label>
                                        <div class="field">
                                            <span class="indicator">
                                                <asp:Label runat="server" ID="lblChildNRIC4" Text="" /></span>
                                            <div class="clear">
                                            </div>
                                        </div>
                                    </div>
                                     <div class="row" id="divChildNationality4" runat="server">
                                        <label for="Insured">
                                            Nationality</label>
                                        <div class="field">
                                            <span class="indicator">
                                                <asp:Label runat="server" ID="lblChildNationality4" Text="" /></span>
                                            <div class="clear">
                                            </div>
                                        </div>
                                    </div>
                                </div>
                                <div id="divChild5" runat="server">
                                    <div class="row" id="div29">
                                        <label for="Insured">
                                            <b>5. Child Name</b></label>
                                        <div class="field">
                                            <span class="indicator">
                                                <asp:Label runat="server" ID="lblChildName5" Text="" /></span>
                                            <div class="clear">
                                            </div>
                                        </div>
                                    </div>
                                    <div class="row" id="div30">
                                        <label for="Insured">
                                            Gender</label>
                                        <div class="field">
                                            <span class="indicator">
                                                <asp:Label runat="server" ID="lblChildGender5" Text="" /></span>
                                            <div class="clear">
                                            </div>
                                        </div>
                                    </div>
                                    <div class="row" id="div31">
                                        <label for="Insured">
                                            Birthday</label>
                                        <div class="field">
                                            <span class="indicator">
                                                <asp:Label runat="server" ID="lblChildBirthday5" Text="" /></span>
                                            <div class="clear">
                                            </div>
                                        </div>
                                    </div>
                                     <div class="row" id="div32">
                                        <label for="Insured">
                                            NRIC</label>
                                        <div class="field">
                                            <span class="indicator">
                                                <asp:Label runat="server" ID="lblChildNRIC5" Text="" /></span>
                                            <div class="clear">
                                            </div>
                                        </div>
                                    </div>
                                     <div class="row" id="divChildNationality5" runat="server">
                                        <label for="Insured">
                                            Nationality</label>
                                        <div class="field">
                                            <span class="indicator">
                                                <asp:Label runat="server" ID="lblChildNationality5" Text="" /></span>
                                            <div class="clear">
                                            </div>
                                        </div>
                                    </div>
                                </div>
                            </div>
                            <div class="clear">
                            </div>
                    </fieldset>
                    <div class="formButtons">
                        <div class="cancel">
                            <span class="button2">
                                <asp:ImageButton ID="btnBack" runat="server" ImageUrl="~/images/buttons/form_back_but.gif"
                                    OnClick="ibtnBack_Click" onmouseover="this.src='/images/buttons/form_back_but_o.gif';"
                                    onmouseout="this.src='/images/buttons/form_back_but.gif';" />
                            </span>
                        </div>
                    </div>
                </div>
            </div>
        </div>
    </div>
</asp:Content>
